Martin, Amy C.

Martin, Amy C. is an individual health care provider with primary practice located at 3010 Berkmar Dr , Charlottesville VA 22901-1443. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Martin, Amy C. can be contacted via phone (434) 964-9430.

Contact Information

Primary practice address
3010 Berkmar Dr Charlottesville VA 22901-1443
Phone: (434) 964-9430
Fax: (434) 964-0199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110001363 Virginia

Profile Details

NPI number 1629119342
LBN Legal business name Martin, Amy C.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629119342 NPPES
Virginia Other 0110001363 STATE LICENSE

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